Mark J. Timken, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME0067809 Issued in FL

Practice address

3131 NW 13TH Street
Suite 41
Gainesville, FL 32609-2163

Phone

(352) 226-8206

Fax

(352) 240-6759

NPI assigned

Nov 7, 2005

Last updated

Jun 4, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

University of South Alabama College of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advance Technological Radiology PAGroup PAC ID 8527043389, 7 clinicians

Stand Up MRI of Tallahassee IncGroup PAC ID 6608775630, 7 clinicians

Health Diagnostics of Fort Lauderdale LLCGroup PAC ID 9638123896, 8 clinicians

Health Diagnostics of Orlando LLCGroup PAC ID 2062488893, 10 clinicians

Stand-Up MRI and Diagnostic Center IncGroup PAC ID 0244138907, 7 clinicians

Stand Up MRI of Boca Raton IncGroup PAC ID 9830097930, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advance Technological Radiology, PA

  • Diagnostic Radiology Physician
  • Davenport, FL
  • NPI 1154450351
  Medicare reassignment Care Compare group NPD
• Health Diagnostics of Fort Lauderdale LLC

  dba Stand-Up MRI and 3T Imaging of Casselberry

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Fern Park, FL
  • NPI 1093437386
  Medicare reassignment Care Compare group NPD
• Health Diagnostics of Orlando LLC

  dba Stand-Up MRI of Orlando

  • Diagnostic Radiology Physician
  • Orlando, FL
  • NPI 1184671257
  Medicare reassignment Care Compare group NPD
• Stand Up MRI of Boca Raton Inc

  • Diagnostic Radiology Physician
  • Boca Raton, FL
  • NPI 1306811104
  Medicare reassignment Care Compare group NPD
• Stand Up MRI of Tallahassee Inc

  • Diagnostic Radiology Physician
  • Tallahassee, FL
  • NPI 1609841402
  Medicare reassignment Care Compare group NPD
• Stand-Up MRI & Diagnostic Center Inc

  • Diagnostic Radiology Physician
  • Ormond Beach, FL
  • NPI 1720053515
  Medicare reassignment Care Compare group NPD
• Advanced Diagnostic Medical Imaging, Inc.

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1851765028
  Medicare reassignment NPD
• Atm Healthcare, Inc

  dba Injury Care Centers

  • Neurology Physician
  • Green Cove Springs, FL
  • NPI 1447609011
  Medicare reassignment NPD
• Cyrus Diagnostic Imaging Inc

  • Specialist
  • Lake Mary, FL
  • NPI 1265454425
  Medicare reassignment NPD
• Elite Imaging LLC

  dba Akumin

  • Diagnostic Radiology Physician
  • Plantation, FL
  • NPI 1376819888
  Medicare reassignment NPD
• Rose Radiology Centers, LLC

  dba Akumin

  • Radiology Clinic/Center
  • Brandon, FL
  • NPI 1629162904
  Medicare reassignment
• Advance Technological Radiology, PA

  • Diagnostic Radiology Physician
  • Winter Haven, FL
  • NPI 1851065981
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1427039627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 NW 13TH STREET",
            "address_2": "SUITE 41",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326092163",
            "telephone_number": "352-226-8206",
            "fax_number": "352-240-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 NW 13TH STREET",
            "address_2": "SUITE 41",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326092163",
            "telephone_number": "352-226-8206",
            "fax_number": "352-240-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMKEN",
        "first_name": "MARK",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME0067809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379383400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "27852",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Elizabeth Tim, MS
• Assi Timah
• Ilinca Doriana Timar
• Timber Creek Consultants Inc.
• Binita Timilsina, MD
• Paul Richard Timler Jr., P.T.
• Kathryn Holland Timmons, M.S.W.
• Victoria Lynn Timmons, PHARM.D.
• Cedric Timol-George
• Timothy U Ketterson PHD PA

• Diagnostic Radiology Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.